Management of the palato-radicular groove with a periodontal regenerative procedure and prosthodontic treatment:A case report  

作　　者：Dan-Hua Ling Wei-Ping Shi Yan-Hong Wang Dan-Ping Lai Yan-Zhen Zhang 

机构地区：[1]Department of Comprehensive Dentistry,The Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310052,Zhejiang Province,China [2]Department of Comprehensive Dentistry,Jiangnan Hospital Affiliated to Zhejiang Chinese Medical University,Hangzhou 311221,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2022年第17期5732-5740,共9页世界临床病例杂志

基　　金：Supported by the Young Innovative Talents of Zhejiang Province,No.2022RC158.

摘　　要：BACKGROUND Palato-radicular groove(PRG)is defined as an anomalous formation of teeth.The etiology of PRG remains unclear.The prognosis of a tooth with a PRG is unfavorable.The treatment of combined periodontal-endodontic lesions requires multidisciplinary management to control the progression of bone defects.Some researchers reported cases that had short-term observations.The management of teeth with PRGs is of great clinical significance.However,to date,no case reports have been documented on the use of bone regeneration and prosthodontic treatment for PRGs.CASE SUMMARY This case reported the management of a 40-year-old male patient with the chief complaint of slight mobility and abscess in the upper right anterior tooth for 15 d and was diagnosed with type II PRG of tooth 12 with combined endodonticperiodontal lesions.The accumulation of plaque and calculus caused primary periodontitis and a secondary endodontic infection.A multidisciplinary management approach was designed that included root canal therapy,groove sealing,a periodontal regenerative procedure,and prosthodontic treatment.During a 2-year follow-up period,a good prognosis was observed.CONCLUSION This report indicates that bone regeneration and prosthodontic treatment may contribute to the long-term favorable prognosis of teeth with PRGs.

关 键 词：Palato-radicular groove Bone regeneration treatment Prosthodontic treatment Maxillary lateral incisor Dentistry PERIODONTOLOGY Case report 

分 类 号：R783[医药卫生—口腔医学]